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Change Requests for X12 Work Products

592

X275 1.4.1: Revise First Paragraph

Submitted: 2/3/2011

Business Reason

X275 1.4.1: Revise First Paragraph

Description

Change paragraph to "A claim that is subjected to Medical or Utilization review during the adjudication process may be pended by the payer. The payer then solicits specific information to supplement or support the provider's request for payment of services. The payer's request for additional information may be service specific or apply to the entire claim. The request is received electronically using the 277, on paper or by other methods. The provider uses the 275 to respond.